NPI 1396979696 · live from the CMS NPI Registry
Auburn Mall Eyecare
Optometrist in Auburn, ME. National Provider Identifier 1396979696, active.
NPI record
| NPI | 1396979696 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 550 Center St, Box 9040, Auburn, ME 04210 |
| Practice phone | 207-782-5030 |
| Enumerated | May 14, 2009 |
| Last updated | May 14, 2009 |
| Authorized official | Michael Metayer, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT725 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.